Pain Management

Plantar fasciitis is a painful condition that affects the heel and the bottom of the foot. It is a result of inflammation and irritation of the plantar fascia, a thick band of tissue that connects the heel bone to the toes. This condition is a leading cause of heel pain among adults, and it can significantly impact one's daily activities and overall quality of life.

Causes of Plantar Fasciitis:

Plantar fasciitis develops when the plantar fascia becomes strained, leading to micro-tears and subsequent inflammation. Several factors can contribute to the development of this condition:

• Overuse and Activity Level: Engaging in activities that place excessive stress on the feet, such as running, jumping, or standing for long periods, can strain the plantar fascia over time.

• Improper Footwear: Wearing shoes with a large heel can tigth the calf muscles and put you at risk of plantar fasciitis.

• Biomechanical Factors: Abnormal foot mechanics, such as flat feet or high arches, can lead to uneven distribution of weight and strain on the plantar fascia.

• Obesity: Excess body weight can increase the load on the feet and contribute to plantar fasciitis.

• Tight Calf Muscles: Tight calf muscles can affect the way you walk and increase tension on the plantar fascia.

• Age: Plantar fasciitis is more common in individuals between the ages of 40 and 60.

Symptoms of Plantar Fasciitis:

The primary symptom of plantar fasciitis is heel pain, particularly at the bottom of the heel or along the arch of the foot. The pain is often described as sharp and stabbing, and it is usually most intense with the first few steps in the morning or after periods of rest. The pain can improve with movement and activity but may return after long periods of standing or walking.

Plantar fasciitis is one of the conditions we enjoy working with the most. It is always enjoyable to watch patients limp in and walk out after their treatment.

Enquire now for more information or to make an appointment. (02) 5590 0232

Shoulder pain is a common complaint that can impact a person's ability to perform everyday tasks and maintain an active lifestyle. The shoulder is a complex joint with a wide range of motion, making it susceptible to various types of injuries and conditions.

Causes of Shoulder Pain:

• Rotator Cuff Injuries: The rotator cuff is a group of muscles and tendons that stabilize the shoulder joint. Overuse, repetitive motions, or sudden trauma can lead to strains, tears, or inflammation in the rotator cuff, causing pain.

• Frozen Shoulder (Adhesive Capsulitis): This condition involves the gradual tightening and thickening of the shoulder joint capsule, leading to pain and reduced mobility.

• Tendinitis: Inflammation of the tendons around the shoulder joint, such as biceps or supraspinatus tendinitis, can result from repetitive motions or degenerative changes.

• Bursitis: Inflammation of the bursa sacs that cushion and protect the shoulder joint can cause pain, especially with overhead movements.

• Shoulder Impingement: When the space between the top of the shoulder blade and the rotator cuff narrows, the rotator cuff tendons can become pinched and irritated.

• Osteoarthritis: Degeneration of the shoulder joint's cartilage over time can lead to pain, stiffness, and reduced range of motion.

Symptoms of Shoulder Pain:

• Dull or sharp pain in the shoulder and upper arm, which may be constant or intermittent.

• Stiffness and reduced range of motion.

• Pain worsened by certain movements or activities like raising your arm overhead, to the side, or behind your back.

• Muscle weakness or difficulty lifting objects.

• Pain while sleeping on your side.

• Clicking or popping sensations during shoulder movement.

• Radiating pain down the arm or into the neck.

At Poke, we understand the challenges that come with shoulder pain. Whether you're dealing with shoulder bursitis, shoulder impingement, or a rotator cuff tear, we are here to offer our assistance.

Enquire today to learn more about how we can help you or to arrange your FREE 15 minute shoulder consult (02) 5590 0232

Hip bursitis is a painful condition of the hip that stems from inflammation of the bursa sacs located near the hip joint. Bursae are fluid-filled sacs that provide cushioning and reduce friction between bones, tendons, and muscles. When the bursae become inflamed, they can lead to discomfort and pain in the hip area.

Causes of Hip Bursitis:

• Repetitive Movements: Activities that involve repetitive hip movements, such as running, cycling, or stair climbing, can irritate the bursae and lead to inflammation.

• Overuse: Excessive or sudden increase in physical activity levels can strain the hip area and contribute to bursitis.

• Poor Biomechanics: Improper gait or posture can create imbalances and increase pressure on the bursae, leading to inflammation.

• Trauma: A direct blow to the hip or prolonged pressure on the area, such as sitting on hard surfaces for extended periods, can trigger bursitis.

• Underlying Conditions: Conditions like rheumatoid arthritis, gout, or hip osteoarthritis can increase the risk of hip bursitis.

Symptoms of Hip Bursitis:

• Pain and tenderness on the outer side of the hip.

• Pain that worsens with prolonged activities like walking, running or standing.

• Stiffness and limited range of motion in the hip.

• Pain and stiffness when going from sitting to standing or laying on the affected hip. 

• Pain that may radiate down the thigh or buttocks.

At Poke Acupuncture our treatment approach for hip bursitis aims to help relieve the hip pain, reduce inflammation, improve mobility, and get you up and moving again as soon as possible!

Enquire now for more information or to make an appointment. (02) 5590 0232

Neck pain is a common issue that we work with on a regular basis at Poke Acupuncture. It is one of those nagging conditions that can significantly impact a person's daily life and well-being. However, on the brightside it often responds very well to an accurate treatment approach.

Causes of Neck Pain:

• Poor Posture: Prolonged sitting with improper neck alignment, hunching over electronic devices, and sleeping in awkward positions can strain the muscles and ligaments in the neck, leading to pain.

• Muscle Strain: Overuse of neck muscles due to activities such as heavy lifting, repetitive motions, or sudden jerking movements can cause muscle strain and subsequent pain.

• Whiplash: Trauma, such as a car accident, can cause the head to suddenly jerk forward and backward, leading to whiplash injuries that affect the neck's soft tissues.

• Herniated Disc: The gel-like center of a spinal disc can protrude and press against nearby nerves, causing neck pain and sometimes radiating pain down the arms.

• Osteoarthritis: Degeneration of the neck's joints over time can lead to osteoarthritis, resulting in pain and decreased mobility.

• Cervical Radiculopathy: Compression or irritation of nerve roots in the neck region can lead to pain that radiates down the arm.

• Spinal Stenosis: Narrowing of the spinal canal can exert pressure on the spinal cord and nerves, causing neck pain and other neurological symptoms.

• Poor Ergonomics: Incorrect workplace setups, such as poorly positioned computer screens and chairs, can contribute to neck pain over time.

Symptoms of Neck Pain:

• Pain that can range from mild discomfort to sharp and severe.

• Stiffness and reduced range of motion.

• Headaches originating from the neck.

• Radiating pain or numbness down the arms.

• Muscle spasms. 

• Tenderness and swelling.

Over the years we have helped so many patients suffering from this painful condition. We apply a very straight forward treatment approach for neck pain: assess, help relieve pain, improve neck movement and address any underlying cause. 

Enquire now for more information or to make an appointment. (02) 5590 0232

Tennis elbow, medically known as lateral epicondylitis, is a common overuse injury that affects the outer part of the elbow. Despite its name, it is not limited to tennis players and can occur in anyone who engages in repetitive arm motions. 

Causes Of Tennis Elbow:

Tennis elbow is primarily caused by repetitive stress on the extensor tendons of the forearm, leading to small tears and inflammation near the lateral epicondyle (bony bump on the outer part of the elbow). Common activities that can trigger this condition include:

• Tennis and Racquet Sports: Frequent gripping and swinging motions involved in racquet sports like tennis can strain the forearm tendons.

• Manual Labor: Jobs that involve repetitive gripping, lifting, or using tools can contribute to the development of tennis elbow.

• Computer Use: Typing for extended periods without proper ergonomics can strain the forearm muscles and tendons.

• Repetitive Hobbies: Activities such as gardening, painting, weight lifting, or playing certain musical instruments can also strain the elbow tendons.

Symptoms Of Tennis Elbow:

The hallmark symptom of tennis elbow is pain and tenderness on the outer part of the elbow. Other common symptoms include:

• Pain During Activities: Pain worsens when gripping, lifting, or performing wrist extension movements.

• Weakness: Reduced grip strength due to pain and inflammation.

• Pain Radiating: Discomfort may radiate down the forearm.

• Morning Stiffness: Stiffness and pain may be worse in the morning.

Over the years we have helped hundreds of patients suffering from tennis elbow. We apply a very straight forward treatment approach:  help relieve pain, improve movement and address any underlying causes - which are typically found in the neck.  

Enquire now for more information or to make an appointment. (02) 5590 0232

Knee osteoarthritis (OA) is a degenerative joint condition that causes pain, stiffness, and reduced mobility of the knee. It is one of the most common forms of arthritis, especially among older adults. 

Causes of Knee Osteoarthritis:

Knee osteoarthritis develops when the protective cartilage that cushions the ends of the bones in the knee joint gradually wears down. This can occur due to several factors:

• Age: The risk of developing knee osteoarthritis increases with age as cartilage naturally degenerates over time.

• Joint Injury: Previous knee injuries, fractures, or ligament tears can increase the likelihood of developing osteoarthritis.

• Genetics: A family history of osteoarthritis can predispose individuals to the condition.

• Obesity: Excess body weight places added stress on the knee joints, accelerating cartilage breakdown.

• Joint Misalignment: Poor joint alignment can lead to uneven distribution of weight and increased wear and tear on specific areas.

• Repetitive Stress: Repetitive activities that involve bending, squatting, or kneeling can contribute to cartilage wear.

Symptoms of Knee Osteoarthritis:

Knee osteoarthritis symptoms can vary in severity and typically worsen over time. Common symptoms include:

• Pain: Pain in the knee joint, particularly during movement or weight-bearing activities.

• Stiffness: Stiffness and reduced range of motion, particularly after periods of inactivity or on cold wet days.

• Swelling: Swelling around the knee joint due to inflammation.

• Crepitus: A grating or cracking sensation when the knee is moved.

• Weakness: Weakened muscles around the knee due to reduced activity.

As you are likely aware knee osteoarthritis is not a condition that can be cured. However, a combination of acupuncture and some corrective exercises can help drastically reduce pain levels and stiffness over time.

Enquire now for more information or to make an appointment. (02) 5590 0232

Lower back pain is a prevalent health issue that affects millions of people worldwide. It can range from a mild discomfort to debilitating pain, impacting daily activities and overall well-being. 

Causes of Lower Back Pain:

Lower back pain can stem from various factors, including:

• Muscle Strain: Overexertion, improper lifting, or sudden movements can strain the muscles and ligaments supporting the spine.

• Structural Issues: Conditions such as herniated discs, degenerative disc disease, spinal stenosis, and vertebral fractures can lead to chronic lower back pain.

• Poor Posture: Maintaining poor posture over time can strain the spine and supporting muscles, causing discomfort.

• Muscle Imbalance: Weak or tight muscles can disrupt the natural alignment of the spine, leading to pain.

• Sedentary Lifestyle: Prolonged sitting and lack of physical activity can weaken the muscles that support the spine.

• Obesity: Excess weight places added stress on the spine and can contribute to lower back pain.

• Medical Conditions: Conditions like kidney infections, endometriosis, and certain forms of arthritis can manifest as lower back pain.

Symptoms of Lower Back Pain:

Lower back pain symptoms vary in intensity and duration. Common symptoms include:

• Dull Aching: A persistent, dull ache in the lower back region.

• Sharp Pain: Sudden, sharp pain that may radiate down the leg (sciatica) in cases of nerve compression.

• Stiffness: Reduced range of motion and stiffness in the lower back.

• Muscle Spasms: Involuntary muscle contractions causing sudden, painful twitches.

• Pain with Movement: Pain worsens during specific movements like bending, twisting, or lifting.

Enquire now for more information or to make an appointment. (02) 5590 0232

Hip osteoarthritis, also known as hip degenerative arthritis, is a highly prevalent condition. Over time, the cartilage in the hip joint gradually deteriorates, leading to bone-on-bone contact and significant pain. This pain tends to worsen progressively.

Common symptoms of hip osteoarthritis include:

• Groin or thigh pain that extends to the buttocks or knee

• Intermittent hip pain following vigorous activities

• Hip joint stiffness, making walking or bending challenging

• Sensation of "locking" or "sticking" during movement, accompanied by clicking, snapping, or grinding sounds in the hip

• Reduced hip range of motion, potentially resulting in a limp

• Hip soreness or a dull ache, particularly during rainy weather.

If you are experiencing any of these symptoms or have been diagnosed with hip osteoarthritis, don't hesitate to reach out today to learn more about how we can assist you.

Enquire now for more information or to make an appointment. (02) 5590 0232